Organization
PSYCHOLOGICAL ASSESSMENT, CONSULTATION, AND EVALUATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON SENEFELD PSY.D. (OWNER)
(443) 698-8326
Entity
Organization
Contact information
Practice address
1214 GREGORY CT, ODENTON, MD 21113-1754
(443) 698-8326
Mailing address
1214 GREGORY CT, ODENTON, MD 21113-1754
(443) 698-8326
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
05015
MD
103TB0200X
Cognitive & Behavioral Psychologist
05015
MD
103TC0700X
Clinical Psychologist
Primary
05015
MD
103TC2200X
Clinical Child & Adolescent Psychologist
05015
MD
103TH0004X
Health Psychologist
05015
MD
103TM1800X
Intellectual & Developmental Disabilities Psychologist
05015
MD
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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